Individual
MR. MUMA JOHN AZEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCC, CCMHC, AND LPC
Contact information
Practice address
1115 STATE ST, CAYCE, SC 29033-4342
(803) 939-0174
(803) 753-5900
Mailing address
29 BROKEN ARROW CT, BLYTHEWOOD, SC 29016-8126
(843) 304-2958
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
19959
NC
101YP2500X
Professional Counselor
7535
SC
Other
Enumeration date
03/07/2019
Last updated
08/02/2024
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